DR. CHETRA RATH (NPI# 1710598636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710598636 |
| Entity Type | Individual |
| Full Name | DR. CHETRA RATH |
| Credential | PHARMD |
| Practice Address |
276 Broadway St Lowell MA 01854-4121 |
| Mailing Address |
Po Box 1213 Lowell MA 01853-1213 |
| Practice Telephone | 9784588441 |
| Mailing Telephone | 9789952128 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH239636 | MA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PHARMACIST LICENSE NUMBER | PH239636 | 01 |
| Street Address |
276 BROADWAY ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787394 | Inderpreet Grover | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2007-04-08 |
| 1811501869 | Kelby Campoverde | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2020-09-06 |
| 1659896819 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 276 Broadway St, Lowell, MA 01854-4121 | 2017-08-09 |
| 1396023370 | Peter Ndungu Ngigi | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2011-07-25 |
| 1336472034 | Christine Braganza | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2009-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772561 | Michael John Jones | Pharmacist | 225 Stedman St Ste 27, Lowell, MA 01851-2792 | 2019-04-19 |
| 1588066682 | Baljit Singh | Pharmacist | 1074 E Commercial Ave, Lowell, IN 46356-7736 | 2014-09-19 |
| 1225388796 | Marvin Allen | Pharmacist | 727 Overlook Rd, Lowell, NC 28098-2200 | 2012-09-12 |
| 1700161601 | Sopheaktra Eang | Pharmacist | 50 Puffer St, Lowell, MA 01851-4101 | 2011-10-12 |
| 1508140120 | Kelley Campbell | Pharmacist | 1704 E. Commercial Ave, Lowell, IN 46356 | 2011-09-30 |
| 1164717682 | James Michael Scanlon | Pharmacist | 181 Plain St., T-2480, Lowell, MA 01852 | 2011-06-13 |
| 1356656961 | Lan Mai Pham | Pharmacist | 25 Wood Street, Rite Aid Pharmacy, Lowell, MA 01851 | 2010-08-09 |
| 1871806901 | Stephen James Primes | Pharmacist | 25 Wood St, Lowell, MA 01851-1518 | 2010-07-18 |
| 1871710491 | William Henry Rouine | Pharmacist | 1231 Bridge St, Lowell, MA 01850 | 2007-04-18 |
| 1588787394 | Inderpreet Grover | Pharmacist | 276 Broadway St, Lowell, MA 01854-4121 | 2007-04-08 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.